Jenica Bloom

NPI #1861053324 in Elkhorn, Nebraska

Provider Information

NPI Number: 1861053324
Entity Type: Individual
Name: Jenica Bloom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 25, 2019
Last Updated: Jun 25, 2019

Practice Location

Address: 600 BROOKSTONE MEADOWS PLZ
City: Elkhorn
State: Nebraska
ZIP Code: 68022-4401
Phone: (402) 289-2696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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